Computed tomography in preeclampsia-eclampsia syndrome.

A 19-year-old primigravida delivered a normal full-term infant. She had been hypertensive during the latter stages of pregnancy. She developed cortical blindness, headache, and proteinuria. On physical examination, blood pressure was 170-180/100. The fundi were not well seen, vision was limited to light perception, and the pupils were equal and reactive to light. No sensory or motor deficit was noted. Deep tendon reflexes were normal. A CT scan of the head was obta ined (fig. 1 A). A diagnosis of preeclampsia with cortical blindness was made and the patient was treated appropriately . Vision improved to 20/20 within 48 hr. At follow-up examination 2 weeks later, she was normotensive without antihypertensive medication. Repeat CT at 5 weeks (fig . 1 B) was normal.